Public record

CMS Hospice Enrollments

Npi: 1144328881 · 1 matching record

Enrollment id
O20050330001087
Enrollment state
FL
Provider type code
00-08
Provider type text
PART A PROVIDER - HOSPICE
Npi
1144328881
Multiple npi flag
N
Ccn
101532
Associate id
2567418742
Organization name
GULFSIDE HOSPICE INC.
Organization type structure
CORPORATION
Proprietary nonprofit
N
Address line 1
2061 COLLIER PKWY
City
LAND O LAKES
State
FL
Zip code
346395202

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